Provider Demographics
NPI:1205603156
Name:MEHLBRECH, MARI (LCSW)
Entity type:Individual
Prefix:
First Name:MARI
Middle Name:
Last Name:MEHLBRECH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W BRIAN ST
Mailing Address - Street 2:
Mailing Address - City:TEA
Mailing Address - State:SD
Mailing Address - Zip Code:57064-2139
Mailing Address - Country:US
Mailing Address - Phone:605-670-9402
Mailing Address - Fax:
Practice Address - Street 1:315 N MAIN AVE STE 309
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-6018
Practice Address - Country:US
Practice Address - Phone:605-368-1610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6421104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker